衰弱指数与老年患者血压水平的相关性及其与不良健康事件的相关性分析
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摘要
分析衰弱指数与老年患者血压水平的相关性及其与不良健康事件的相关性。收集本院2013年1月至2017年1月期间诊治的老干所老年体检患者的临床资料,其中衰弱组患者70例,衰弱前期组患者66例,非衰弱组患者80例,分析各组研究对象衰弱指数与老年患者血压水平的相关性。结果显示:与非衰弱组和衰弱前期组比较,衰弱组患者24 h平均收缩压、昼间平均收缩压和夜间平均收缩压均明显降低(P<0.05),而各组间24 h平均舒张压、昼间平均舒张压和夜间平均舒张压均无明显变化(P>0.05);衰弱组患者不良健康事件心脏病、高血压、慢性肾病、脑卒中、恶性肿瘤、关节炎及慢性阻塞性肺病的发生率明显高于其他两组患者(P<0.05);衰弱指数与收缩压有明显的负相关性(P<0.05),与患者不良健康事件有密切的正相关性(P<0.05),而与舒张压及糖尿病和消化道溃疡无相关性(P>0.05)。因此,衰弱指数与老年患者收缩压水平呈明显负相关,且与不良健康事件有明显的相关性。
The purpose of this study was to analyze the correlation between weakness Index and blood pressure levels in elderly patients and the correlation between weakness index and adverse health events.It collected analyze the clinical data of elderly inpatients diagnosed and treated in our hospital from January 2013 to January 2017. Among the 216 patients,70 were in the weak group,66 in the pre-weak group and 80 in the non-weak group. The correlation between asthenia index and blood pressure level in elderly patients was analyzed.The results showed that Compared with the non-weakening group and the pre-weakening group,the 24-hour mean systolic blood pressure,the diurnal mean systolic blood pressure and the nighttime mean systolic blood pressure in the weakening group were significantly lower,and the difference was statistically significant( P<0.05),while the 24-day mean diastolic blood pressure,the diurnal mean diastolic blood pressure and the nighttime mean diastolic blood pressure were not significantly different among the groups( P< 0.05) The incidence of adverse health events such as heart disease,hypertension,chronic kidney disease,stroke,malignant tumor,arthritis and chronic obstructive pulmonary disease was significantly higher in the weak group than in the control group( P<0.05),and the weak index was negatively correlated with systolic blood pressure( P<0.05). There was a close positive correlation between health events( P<0.05),but no correlation between diastolic blood pressure,diabetes mellitus and peptic ulcer( P>0.05).So Weakness index was negatively correlated with systolic blood pressure in elderly patients.Weakness index was negatively correlated with adverse health events.
The purpose of this study was to analyze the correlation between weakness Index and blood pressure levels in elderly patients and the correlation between weakness index and adverse health events.It collected analyze the clinical data of elderly inpatients diagnosed and treated in our hospital from January 2013 to January 2017. Among the 216 patients,70 were in the weak group,66 in the pre-weak group and 80 in the non-weak group. The correlation between asthenia index and blood pressure level in elderly patients was analyzed.The results showed that Compared with the non-weakening group and the pre-weakening group,the 24-hour mean systolic blood pressure,the diurnal mean systolic blood pressure and the nighttime mean systolic blood pressure in the weakening group were significantly lower,and the difference was statistically significant( P<0.05),while the 24-day mean diastolic blood pressure,the diurnal mean diastolic blood pressure and the nighttime mean diastolic blood pressure were not significantly different among the groups( P< 0.05) The incidence of adverse health events such as heart disease,hypertension,chronic kidney disease,stroke,malignant tumor,arthritis and chronic obstructive pulmonary disease was significantly higher in the weak group than in the control group( P<0.05),and the weak index was negatively correlated with systolic blood pressure( P<0.05). There was a close positive correlation between health events( P<0.05),but no correlation between diastolic blood pressure,diabetes mellitus and peptic ulcer( P>0.05).So Weakness index was negatively correlated with systolic blood pressure in elderly patients.Weakness index was negatively correlated with adverse health events.
引文
[1]吕卫华,王青,翟雪靓,等.老年住院患者衰弱指数不同临界值与出院预后分析[J].中华老年多器官疾病杂志,2018,17(5):329-33.
[2]邹雨珮,罗晗,杨轶,等.改良衰弱指数在老年下肢重度缺血中的初步应用[J].中国地方病防治杂志,2017,32(12):1385-7.
[3]陈国芳,平蕾,周生奎,等.急性脑出血伴高血压患者90d死亡相关因素分析[J].中华高血压杂志,2016,24(9):877-80.
[4]孟丽,石婧,周白瑜,等.衰弱表型和衰弱指数评估老年人衰弱效果的初步研究[J].中华老年多器官疾病杂志,2017,16(5):321-5.
[5]戴伦.老年高血压患者各项心血管病危险因素指标的更新[J].中华高血压杂志,2017,25(7):619-21.
[6]刘长仁,张永生,秦秀菊,等.衰弱指数应用于老年人健康状况评价的研究[J].中国处方药,2014,12(2):16-8.
[7]赵清华,吕卫华,王青,等.衰弱指数对老年住院患者血压与预后相关性的影响[J].中华老年心脑血管病杂志,2018(8):806-11.
[8]赵清华,王青,吴薇,等.老年住院患者衰弱指数与血压水平的关系[J].中华老年心脑血管病杂志,2016,18(4):380-3.
[9]孟丽,谭潇,石婧,等.老年人衰弱分布及其影响因素的初步研究[J].中国临床保健杂志,2017,20(5):481-5.
[10]方向阳,陈清,陆玫,等.社区老年人认知功能障碍与衰弱的关系研究[J].中国全科医学,2018,21(2):185-9.
[11]吕卫华,王青,翟雪靓,等.老年住院患者衰弱指数不同临界值与出院预后分析[J].中华老年多器官疾病杂志,2018,17(5):329-33.
[12]董莉娟.社区老年人衰弱与生存质量的关系研究[D].济南:山东大学,2017.
[13]聂玥,李顺东,程洁,等.老年人衰弱指数与结节性甲状腺肿住院患者围手术期并发症的相关性分析[J].河北医科大学学报,2017,38(5):520-4.
[14]孟丽,谭潇,石婧,等.老年人衰弱分布及其影响因素的初步研究[J].中国临床保健杂志,2017,20(5):481-5.
[2]邹雨珮,罗晗,杨轶,等.改良衰弱指数在老年下肢重度缺血中的初步应用[J].中国地方病防治杂志,2017,32(12):1385-7.
[3]陈国芳,平蕾,周生奎,等.急性脑出血伴高血压患者90d死亡相关因素分析[J].中华高血压杂志,2016,24(9):877-80.
[4]孟丽,石婧,周白瑜,等.衰弱表型和衰弱指数评估老年人衰弱效果的初步研究[J].中华老年多器官疾病杂志,2017,16(5):321-5.
[5]戴伦.老年高血压患者各项心血管病危险因素指标的更新[J].中华高血压杂志,2017,25(7):619-21.
[6]刘长仁,张永生,秦秀菊,等.衰弱指数应用于老年人健康状况评价的研究[J].中国处方药,2014,12(2):16-8.
[7]赵清华,吕卫华,王青,等.衰弱指数对老年住院患者血压与预后相关性的影响[J].中华老年心脑血管病杂志,2018(8):806-11.
[8]赵清华,王青,吴薇,等.老年住院患者衰弱指数与血压水平的关系[J].中华老年心脑血管病杂志,2016,18(4):380-3.
[9]孟丽,谭潇,石婧,等.老年人衰弱分布及其影响因素的初步研究[J].中国临床保健杂志,2017,20(5):481-5.
[10]方向阳,陈清,陆玫,等.社区老年人认知功能障碍与衰弱的关系研究[J].中国全科医学,2018,21(2):185-9.
[11]吕卫华,王青,翟雪靓,等.老年住院患者衰弱指数不同临界值与出院预后分析[J].中华老年多器官疾病杂志,2018,17(5):329-33.
[12]董莉娟.社区老年人衰弱与生存质量的关系研究[D].济南:山东大学,2017.
[13]聂玥,李顺东,程洁,等.老年人衰弱指数与结节性甲状腺肿住院患者围手术期并发症的相关性分析[J].河北医科大学学报,2017,38(5):520-4.
[14]孟丽,谭潇,石婧,等.老年人衰弱分布及其影响因素的初步研究[J].中国临床保健杂志,2017,20(5):481-5.